Background: Several institutions have implemented a medical procedure service (MPS) to improve timeliness of bedside procedures and standardize performance and training of procedures by internal medicine (IM) residents (1-2). A critical barrier to starting an MPS has been a lack of experienced proceduralists (3). In 2011, our IM residency program created an MPS led by […]

Background: Several institutions have implemented a medical procedure service (MPS) to improve timeliness of bedside procedures and standardize performance and training of procedures by internal medicine (IM) residents (1-2). A critical barrier to starting an MPS has been a lack of experienced proceduralists (3). In 2011, our IM residency program created an MPS led by […]

Background: Point-of-care ultrasound (POCUS) is a goal-directed ultrasound exam performed by a healthcare provider to answer a specific question or guide performance of an invasive procedure at the bedside. The Alliance for Academic Internal Medicine (AAIM) and the American College of Physicians (ACP) support the integration of POCUS into graduate medical education (GME).Emergency medicine (EM) […]

Background: Point-of-care ultrasound (POCUS) is a diagnostic tool that is being increasingly utilized within the hospitalist sector of internal medicine; however, there is currently no summative source of information for POCUS in perioperative medical management. To address this gap in knowledge, we conducted a systematic review of studies assessing the impact of POCUS on clinical […]

Background: Point of Care Ultrasound (POCUS) has been used to improve diagnostic accuracy and provide earlier and more focused treatment intervention. Although hospital-based clinicians are prime candidates for utilizing this skill, very few regularly integrate POCUS into their clinical practice after completing a training course. This study sought out to identify the facilitators and barriers […]

Background: Point-of-care ultrasound is defined as a goal-directed, bedside ultrasound examination performed by a health care provider to answer a specific diagnostic question or to guide the performance of an invasive procedure. Its use has been endorsed by the American Academy of Family Physicians, American College of Physicians, and the Society of Hospital Medicine. Yet […]

Background: The Alliance for Academic Internal Medicine and the American College of Physicians have acknowledged the importance of POCUS in internal medicine for diagnosis and procedural guidance and support its integration into graduate medical education. There are no current standards for the content or structure of a POCUS curriculum. As a result, institutions looking to […]

Background: Point-of-care ultrasound training programs (POCUS) have proliferated, but the best method of skills assessment remains unclear. Most published testing protocols assess only image acquisition and interpretation. In a clinical scenario, recognizing an indication for POCUS, selecting the appropriate exam, integrating findings with the other data from the case, and formulating a differential diagnosis and […]

Background: Hospitalist-run Medical Procedure Services (MPS) have been shown to decrease time-to-procedure, overall length of stay, and interventional subspecialty consults for bedside procedures while increasing revenue for hospitalist groups [1,2,3,4]. However, significant challenges remain in the deployment of a financially sustainable MPS, and there is interest in identifying and deploying strategies to improve sustainability. Two […]

Case Presentation: A 73-year-old man with a past medical history of pancreatic adenosquamous carcinoma, biventricular heart failure with reduced ejection fraction (30-35%), and paroxysmal atrial fibrillation presented to the hospital with a 2-day history of bilateral lower extremity edema and 5-pound weight gain. Physical exam was notable for tachycardia, jugular venous distension, scleral icterus, and […]